中医护理工时的测定与分析

Observation and Analysis of Nursing Working Hours in Traditional Chinese Medicine

目的测定我院中医护理人员的工作时间,了解临床人力资源和人才需求的总体状况。方法采用动作时间测定法,对我院12个病区的169名注册护士进行连续2周的"日床边实际工作量"测定,并对各班次护理工作内容与时间分配进行跟踪测时与分析。结果护士平均有效工时为7.05 h,直接护理工时与间接护理工时之比为1∶1.25;间接护理时间中以"治疗准备、书写记录、医嘱处理"等所占用时间最长;直接护理中为"患者的生活帮助和宣教指导"时间明显不足。结论适当增加病区护理人员编制人数,优化人才配置结构,提供有效的部门支持系统,可减少不必要的间接护理工时,增加患者床边服务时间,提高护理服务质量。

Objective To determine the working hours of nurses in Traditional Chinese Medicine and to understand the demand of human power. Methods ＇Bed-side actual working hours＇ of 169 registered nurses in 12 wards were monitored for two weeks by the action-time determination method. Nursing work loads and time arrangements of all shifts were determined and analyzed. Results The average effective working time of every nurse was 7.05 hours, with a direct to indirect nursing hour ratio being 1：1.25. ＇Treatment preparation, writing record, practice of doctor＇s advice＇, etc. are the most time consuming activities for indirect nursing time; and the time for ＇daily-life assistance and instructive propaganda＇ for patients is obviously not enough. Conclusion Increasing human power, optimizing human composition, providing effective support can reduce unnecessary indirect nursing hours, increase ＇bed-side＇ nursing and improve nursing quality.